MARTHA MENCHACA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111975

License Status

ACTIVE

Business

First Name

MARTHA

Last Name

MENCHACA

Business Name

MARTHA MENCHACA

Original Issue Date

07/28/2004

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

07/17/2024